Individual
DR. TERRI ANN EUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
300 S SCHOOL ST, DERMOTT, AR 71638-2127
(870) 538-9720
(870) 538-9710
Mailing address
300 S SCHOOL ST, DERMOTT, AR 71638-2127
(870) 538-9720
(870) 538-9710
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2854
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114704608
—
AR
01
—
2854
STATE LIC NUMBER
AR
01
—
4025414
BCBS OF TENN
TN
01
—
58142
ARBCBS PROVIDER #
AR
01
—
710748470
FED TAX ID
AR
01
—
833311
UNITED CONCORDIA
AR
Enumeration date
03/19/2007
Last updated
02/10/2026
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